| NPI | 1952875353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2311-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160007674) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |